DR. LUIS EDGARDO PADILLA (NPI# 1720025471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720025471 |
| Entity Type | Individual |
| Full Name | DR. LUIS EDGARDO PADILLA |
| Credential | O.D. |
| Practice Address |
J C Penney Optical Department Plaza Carolina Mall Carolina PR 00988 |
| Mailing Address |
Po Box 397 Cabo Rojo PR 00623-0397 |
| Practice Telephone | 7877529200 |
| Practice Fax Number | 7872572665 |
| Mailing Telephone | 7878514820 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
PR 110 | PR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | TRIPLE S | 28904PA | 01 |
| PR | HUMANA PUERTO RICO | 9880011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538380712 | Luis Raul Padilla | Psychologist | Carr 1000, Mansiones I 2, Cabo Rojo, PR 00623-0146 | 2007-05-02 |
| 1952433161 | Luis Alonso Padilla | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-03-12 |
| 1730232828 | Luis Fernando Padilla | Family Medicine | 3020 14th St Nw, Washington, DC 20009-6865 | 2007-01-19 |
| Street Address |
J C PENNEY OPTICAL DEPARTMENT PLAZA CAROLINA MALL |
| City | CAROLINA |
| State | PR |
| Zip Code | 00988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528553856 | Alejandro Trujillo Sr. | Independent Medical Examiner | Calle Molinillo 00988, Carolina, PR 00988 | 2018-06-28 |
| 1194228072 | The Dental Solutions Group LLC | Dentist | Ave Fernandez Juncos Esq Molinillo, Piso 4, Carolina, PR 00988 | 2018-03-16 |
| 1891080651 | Miguel A Fontan | Pharmacist | Jesus Fragoso Ave &65 Th Inf. Ave, Carolina, PR 00988 | 2011-06-09 |
| 1316145105 | Vanessa Maria Villafane | Counselor | Calle 24 Bloque 49 Numero 44 Villa Carolina, Carolina, PR 00988 | 2007-07-03 |
| 1720298466 | Alice Geanny Perez | Psychologist | Avenida Sanchez Osorio 5h4, Villa Fontana Park, Carolina, PR 00988 | 2007-05-23 |
| 1689887937 | Jaime Cruz | General Practice | Cfse Carolina, Carolina, PR 00988 | 2007-05-07 |
| 1891859526 | Pmc Marketing Corp | Pharmacy | Centro Comercial Los Colobos II, Carr 3 Km 14, Carolina, PR 00988 | 2006-12-20 |
| 1083797583 | Paul Velazquez | Optometrist | Local #203, Carolina, PR 00988 | 2006-10-20 |
| 1417050816 | Isabel Garcia | Dentist | Suite 09, Plaza Carolina, Carolina, PR 00988 | 2006-09-07 |
| 1548209042 | Juana Elizabeth Echeverria | Optometrist | Jesus Fragoso Avenue Hwy # 3 Loiza, Carolina, PR 00988 | 2006-06-06 |
| Find all providers in zip 00988 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245576099 | Be Professional,psc | Optometrist | Ave Monserrate # 97, Numero 28 Villa Carolina, Carolina, PR 00985-5444 | 2012-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538357066 | Roberto Roman Roman | Optometrist | Va Caribbean Health Care System, 10 Calle Casia, San Juan, PR 00921-3201 | 2007-10-10 |
| 1629268362 | Lydia Guerra Cuevas | Optometrist | Calle Jose Barbosa #160, Moca, PR 00676 | 2007-07-30 |
| 1326026295 | Denis M Livingstone | Optometrist | 200 Ave Rafael Cordero, Suite 111, Jcpenney Optical, Caguas, PR 00725-3740 | 2006-01-02 |
| 1225010721 | Luis Aramburu Diaz | Optometrist | 1122 Ave Ponce De Leon, San Juan, PR 00925-2908 | 2005-11-18 |
| 1225267420 | Caiepa, Inc. | Optometrist | 359 Calle San Claudio, Suite 305-b, San Juan, PR 00926-9907 | 2009-07-08 |
| 1184788390 | Elsa Iris Otero | Optometrist | 30002 Valle Del Amanecer, Valle Dorado, Dorado, PR 00946 | 2006-12-21 |
| 1295816395 | Carmen M Suarez-castro | Optometrist | 369 Ave Domenech, San Juan, PR 00918-3708 | 2006-10-17 |
| 1063438331 | Laura E. Dalmasy-frouin | Optometrist | 10 Calle Casia, San Juan, PR 00921-3200 | 2006-07-13 |
Please comment or provide details below to improve the information on DR. LUIS EDGARDO PADILLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.